ATI RN
ATI Pediatric Proctored Exam 2023
1. A nurse is planning care for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
- A. Position the infant on his abdomen
- B. Cleanse the incision site with hydrogen peroxide
- C. Offer the infant a pacifier
- D. Keep the infant's elbow restrained
Correct answer: D
Rationale: The nurse should keep the infant�s elbow restrained to prevent injury to the surgical site.
2. When planning care for a pediatric client diagnosed with bacterial meningitis, what is the priority nursing diagnosis?
- A. Impaired Gas Exchange
- B. Risk for Infection
- C. Anxiety (parental)
- D. Acute Pain
Correct answer: A
Rationale: The priority nursing diagnosis when caring for a pediatric client with bacterial meningitis is 'Impaired Gas Exchange.' This diagnosis takes precedence due to the potential for respiratory complications associated with the condition. Bacterial meningitis can lead to increased intracranial pressure, compromising the child's ability to ventilate adequately. Therefore, monitoring and addressing any signs of respiratory distress are crucial in the care of these patients.
3. The therapist engages a teen in a game of cards to improve his hand skills for schoolwork. Which statement best reflects this session?
- A. Playfulness as an approach
- B. Play as an occupation
- C. Play as a tool
- D. Play as a reward
Correct answer: C
Rationale: The correct answer is 'Play as a tool.' In this session, the therapist is using play as a tool to integrate therapeutic goals into a playful activity, which helps engage the teen and improve specific skills, in this case, hand skills for schoolwork.
4. A caregiver is teaching a parent of a child with a new prescription for ferrous sulfate tablets. Which of the following instructions should the caregiver include in the teaching?
- A. Give the medication with milk.
- B. Take the medication on an empty stomach.
- C. Avoid giving the medication with orange juice.
- D. Brush the child's teeth after administration.
Correct answer: D
Rationale: It is important for the caregiver to instruct the parent to brush the child's teeth after administering ferrous sulfate to prevent staining of the teeth. Iron in ferrous sulfate can cause teeth discoloration, so brushing the child's teeth after taking the medication helps prevent this side effect.
5. A healthcare professional is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The professional should identify which of the following laboratory values indicates effectiveness of the current treatment?
- A. Potassium 2.9 mEq/L
- B. Sodium 140 mEq/L
- C. Urine specific gravity 1.035
- D. BUN 25 mg/dL
Correct answer: B
Rationale: A sodium level of 140 mEq/L within the expected reference range indicates effective treatment for dehydration. In dehydration, sodium levels are often elevated, so a normal sodium level suggests that the treatment is helping to restore the electrolyte balance in the infant's body.
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